In Audit
Jan 10th, 2017
If you haven’t stumbled on the treasure trove of information in the Office of Inspector General’s (OIG) Media section of their website, it’s time you found it. OIG now keeps you informed on fraud, enforcement, and compliance via podcast. The podcasts are found on the OIG website with Mike Kane, Office of External Affairs, discussing the monthly ...
In Billing
Jan 9th, 2017
A final rule effective July 13, 2017, which the Centers for Medicare & Medicaid Services (CMS) maintains will improve home health care while streamlining providers’ requirements, has been published in the Federal Register.   Home health patients receive coordinated services ranging from skilled nursing to physical therapy to medical social services, all under the direction of ...
In Billing
Jan 6th, 2017
U.S. Attorney for the District of Maryland, Rod J. Rosenstein announced December 20 that Elma Myles pled guilty to defrauding Medicaid and other health benefit programs by conspiring to have durable medical equipment provider RX Resources and Solutions (RXRS) bill for supplies that were never provided or were medically unnecessary, and to overcharge for materials ...
In Audit
Jan 3rd, 2017
The use of medical scribes has become more common in recent years, as practices and facilities search for ways to alleviate documentation tasks for providers, thereby improving their overall productivity, Medical scribes are not medical providers (although often scribes may have some medical background), and he or she is never meant to treat a patient. ...
In Billing
Dec 20th, 2016
In accordance with Protecting Access to Medicare Act of 2014 (PAMA), and to promote patient safety and public health, the Centers for Medicare & Medicaid Services (CMS) created modifier CT Computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association (NEMA) XR-29-2013 standard) to discourage ...